Provider Demographics
NPI:1194815142
Name:SUNDARESAN, NARAYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:NARAYAN
Middle Name:
Last Name:SUNDARESAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SUNNY
Other - Middle Name:
Other - Last Name:SUNDARESAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:5 E 84TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0407
Mailing Address - Country:US
Mailing Address - Phone:212-876-7575
Mailing Address - Fax:212-876-7575
Practice Address - Street 1:5 E 84TH ST FL 1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0407
Practice Address - Country:US
Practice Address - Phone:212-876-7575
Practice Address - Fax:212-202-4530
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY133110207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery